Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.49 / $2,107.31 / $3,909.08	Professional		$1,728.49	$2,107.31	$3,909.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,860.70 / $27,509.52 / $55,087.81	Facility		$12,860.70	$27,509.52	$55,087.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,513.44 / $3,475.51 / $4,236.02	Professional		$2,513.44	$3,475.51	$4,236.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.00 / $3,228.76 / $4,455.89	Professional		$2,111.00	$3,228.76	$4,455.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,384.17 / $3,632.35 / $10,599.72	Professional		$2,384.17	$3,632.35	$10,599.72
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.94 / $2,623.36 / $2,917.11	Professional		$2,379.94	$2,623.36	$2,917.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,298.58	Professional		$32.34	$32.34	$3,298.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,055.00 / $14,468.00	Facility		$2,600.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,954.55 / $2,899.21 / $4,651.41	Professional		$1,954.55	$2,899.21	$4,651.41